NPIMap

Organization Active NPI

Greene Rehab Services, P.a.

  • Physical Therapy Clinic/Center
  • North Port, FL
National Provider Identifier
1669913653
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTA22248 Issued in FL
Legal business name
GREENE REHAB SERVICES, P.A.
Practice address
12749 Tamiami TRL S
North Port, FL 34287-1934
Phone
(941) 484-2471
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Greene, PTNPI 1639107246
Title
Owner/Adminstrator
Phone
(941) 484-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTA22248 FL Primary

Addresses

Primary practice location

12749 Tamiami TRL S
North Port, FL 34287-1934

Mailing address

333 Tamiami TRL S
Venice, FL 34285-2402
Phone (941) 484-2471

National Provider Directory

National Provider Directory
Tax ID family
Greene Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1669913653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-484-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12749 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871934",
            "telephone_number": "941-484-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE REHAB SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "941-484-2471",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PTA22248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.